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This is VAERS ID 1229980

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1229980
VAERS Form:2
Age:56.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Chills, Cough, Dizziness, Fatigue, Headache, Nausea, Platelet count normal, Pyrexia, Retching, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin c Vitamin d B12
Current Illness: None
Preexisting Conditions: Low whit blood count but deemed as normal for me
Allergies: Epi
Diagnostic Lab Data: Had Covid shot on Sunday. Went to see my doctor on Thursday he said my platelets were fine and everything was OK after doing blood test. I still have a slight headache a few aches in my legs and arm
CDC 'Split Type':

Write-up: Shaking chills, fever of 103 for 12 hours then 102 rest of day until 8pm Monday night. Dry heaves, coughing, massive headache, weakness, fatigue, dizziness, nausea thought I was going to die, like I had an Aneurysm or like menengitus, arm hurt.


Changed on 5/7/2021

VAERS ID: 1229980 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Chills, Cough, Dizziness, Fatigue, Headache, Nausea, Platelet count normal, Pyrexia, Retching, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin c Vitamin d B12
Current Illness: None
Preexisting Conditions: Low whit blood count but deemed as normal for me
Allergies: Epi Epi
Diagnostic Lab Data: Had Covid shot on Sunday. Went to see my doctor on Thursday he said my platelets were fine and everything was OK after doing blood test. I still have a slight headache a few aches in my legs and arm
CDC 'Split Type':

Write-up: Shaking chills, fever of 103 for 12 hours then 102 rest of day until 8pm Monday night. Dry heaves, coughing, massive headache, weakness, fatigue, dizziness, nausea thought I was going to die, like I had an Aneurysm or like menengitus, arm hurt.


Changed on 5/14/2021

VAERS ID: 1229980 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Chills, Cough, Dizziness, Fatigue, Headache, Nausea, Platelet count normal, Pyrexia, Retching, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin c Vitamin d B12
Current Illness: None
Preexisting Conditions: Low whit blood count but deemed as normal for me
Allergies: Epi Epi
Diagnostic Lab Data: Had Covid shot on Sunday. Went to see my doctor on Thursday he said my platelets were fine and everything was OK after doing blood test. I still have a slight headache a few aches in my legs and arm
CDC 'Split Type':

Write-up: Shaking chills, fever of 103 for 12 hours then 102 rest of day until 8pm Monday night. Dry heaves, coughing, massive headache, weakness, fatigue, dizziness, nausea thought I was going to die, like I had an Aneurysm or like menengitus, arm hurt.

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